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The aim of this study was to investigate the effects of the Mulligan mobilization technique (MMT) on pain intensity, joint position sense (JPS), kinesiophobia, and disability level in individuals with nonspecific neck pain. A total of 34 female individuals with nonspecific neck pain were included in the study. Pain intensity, JPS, kinesiophobia, and disability levels of all participants were evaluated before and after the 3-week intervention. Participants were randomly divided into two groups. In the first group, the participants received MMT by the physiotherapist twice a week for 3 weeks, and self-mobilization techniques as a home exercise program. The second group was trained only self-mobilization techniques.
A total of 34 female individuals with nonspecific neck pain that persisted for at least 3 months were included in the study. Individuals who had a surgical indication for the cervical region and/or had undergone surgery, who had received physiotherapy or other treatment in the last year due to neck pain, who had a history of trauma to the cervical and thoracic region, and who additionally had a musculoskeletal system disease were excluded. All participants were evaluated for pain intensity, JPS, kinesiophobia, and disability levels before and after the 3-week intervention. Participants were randomly divided into two groups using the coin toss method. In the first group, the participants received MMT by the physiotherapist twice a week for 3 weeks, and self-mobilization techniques as a home exercise program. The second group was trained only self-mobilization technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mulligan mobilization technique | Experimental | The participants received MMT from the physiotherapist. |
|
| Self-mobilization techniques | Other | The second group was trained only self-mobilization technique. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mulligan mobilization | Other | The SNAGS technique was applied to 3 sets of 10 repetitions with 15-30 seconds rest between sets while the participants were in a sitting position. A physiotherapist applied passive motion to facet joints at each spinal level. The participant was questioned in which direction he/she felt pain during cervical ROM and the application was carried out in the painful/limited directions. |
| Measure | Description | Time Frame |
|---|---|---|
| Disability | The Neck Disability Index (NDI) was used to determine the severity of disability.It consists of 10 items related to subjective symptoms and activities of daily living. Each item is scored from 0 to 5 points. The total score of the NDI ranges from 0 to 50 points. A higher total score indicates a higher level of disability. | Three weeks |
| Neck Pain Severity | Neck Pain intensity was evaluated with Visual Analogue Scale.Pain intensity was evaluated with Visual Analogue Scale (VAS). Participants were asked to mark the intensity of pain they felt on a 100 mm long horizontal line marked "0" at one end and "10" at the other. "0" indicates no pain, and "10" indicates very severe pain. | Three weeks |
| Joint Position Sense | Cervical JPS was measured by using CROM | Three weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tarik Ozmen | Karabük | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33399175 | Background | Alansari SM, Youssef EF, Shanb AA. Efficacy of manual therapy on psychological status and pain in patients with neck pain. A randomized clinical trial. Saudi Med J. 2021 Jan;42(1):82-90. doi: 10.15537/smj.2021.1.25589. | |
| 29861800 | Background | Buyukturan O, Buyukturan B, Sas S, Kararti C, Ceylan I. The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study. Pain Res Manag. 2018 May 15;2018:2856375. doi: 10.1155/2018/2856375. eCollection 2018. |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| D000092442 | Kinesiophobia |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Self-Mobilization | Other | For the self-mobilization technique, each participant was asked to extend a pain-free while pushing upwards from the transverse processes of the treated vertebra with the thumbs of both hands. In addition, the middle or index finger of the right hand was asked to pull the treated vertebra to the right side, while at the same time, left rotation was asked at the pain limit. Self-mobilization was applied every day, twice a day, five times. |
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| 25264016 | Background | Ganesh GS, Mohanty P, Pattnaik M, Mishra C. Effectiveness of mobilization therapy and exercises in mechanical neck pain. Physiother Theory Pract. 2015 Feb;31(2):99-106. doi: 10.3109/09593985.2014.963904. Epub 2014 Sep 29. |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |